(We will send you a copy to sign. You must bring a signed copy to the race)

I know that participation in a road race is potentially hazardous activity, which could cause injury or death. I will not enter and participate unless I am medically able and properly trained, and by my signature, I certify that I am medically able to perform this event, and am in good health, and I am properly trained.

I agree to abide by any decision of a race official relative to any aspect of my participation in this event, including the right of any official to deny or suspend my participation for any reason whatsoever.

I attest that I have read the rules of the race and agree to abide by them.

I assume all risks associated with running in this event, including but not limited to: falls, contact with other participants, the effects of the weather, including high heat and/or humidity, traffic and the conditions of the road, all such risks being known and appreciated by me.

I understand that bicycles, skateboards, baby joggers, roller skates or roller blades, animals, and personal music players are not allowed in the race and I will abide by all race rules.

Having read this waiver and knowing these facts and inconsideration of your accepting my entry, I, for myself and anyone entitled to act on my behalf, waive and release the Rotary Club of Sierra Vista Sunrise, the City of Sierra Vista, all event sponsors and benefactors thereof, their representatives and successors from all claims or liabilities of any kind arising out of my participation in this event, even though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver. I grant permission to all of the foregoing to use my photographs, motion pictures, recordings or any other record of this event for any legitimate purpose.

I have read and understand the rules

Enter first name - REQUIRED! If your card shows a middle initial enter first name followed by a space then middle initial

Enter last name - REQUIRED!

Enter middle name - required IF on card!

Enter BILLING address - REQUIRED!

Enter BILLING address 2 - if needed

Enter BILLING postal code (I'll fill in the city and state for you) - REQUIRED!

Enter BILLING city - REQUIRED!

Enter phone # - REQUIRED!

Enter emergency contact phone # - optional but a good idea!

Enter email address - REQUIRED!

Address notes - use this for address details if billing is outside of US or Canada

Company name - if needed

Enter ship to name - REQUIRED!

Enter last name - REQUIRED!

Enter SHIPPING address - REQUIRED!

Enter SHIPPING address 2 - if needed

Enter SHIPPING postal code (I'll fill in the city and state for you) - REQUIRED!

Enter SHIPPING city - REQUIRED!

Ship to company name - if needed

Enter credit card number (spaces, dashes, no dashes are all OK) - REQUIRED!